CECAL VOLVULUS

Abstract

Aim- Introduction- To study a case report of caecal volvulus; a rare clinical entity Cecal volvulus is an uncommon cause of intestinal obstruction, and is the axial twisting of the cecum, ascending colon, terminal ileum, and their associated mesenteries as pedicles. It is estimated that it occurs in 2.8–7.1 per million people per year. It is an infrequent cause of intestinal obstruction, accounting for 1−5% of all adult intestinal obstructions; and up to 40% of colonic volvulus. A mobile/non-xed cecum is mentioned as one signicant associated nding in patients with cecal volvulus, and this was seen in about 25% of cadaveric studies.4 Its variable clinical symptoms make it difcult to diagnose early. Case Summary- A 51 years old male presented with features of intestinal obstruction with a history of eight days. X-ray showed features intestinal obstruction with, dilated large bowel loops could be seen with atypical air uid level. A large caecal volvulus was seen with gangrenous caecum and proximal 4 cm of ascending colon. Rest of small bowel was dilated and DJ junction was found on the right of aorta. Resection of cecal volvulus with ileo-ascending anastomoses with proximal loop ileostomy was done. Caecal volvulus is a rare cause of bowel obstruction, mainly caused by an exceedingly mobile c Conclusion- aecum, an embryologic abnormality. Early diagnosis can be difcult due to its unspecic symptoms of small bowel obstruction. The main course of treatment is surgical, and modalities depend on various factors such as patient status and perioperative ndings.